AMENDMENT TO LEASE

FOR GOOD CONSIDERATION, _ [Landlord], and _ [Tenant],
under a certain lease agreement between them for premises
known as _, dated _, 19_ hereby modify and amend said lease in
the following particulars: [Describe modified terms]

_

All other terms shall remain as contained.
Signed under seal this _ day of _, 19_.

______________________________
Landlord

______________________________
Tenant